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西班牙裔女性在联邦合格健康中心对西班牙语生殖健康自我评估工具的看法。

Perceptions of a Spanish language Reproductive Health Self-assessment Tool Among Spanish-Speaking Women at a Federally Qualified Health Center.

机构信息

Department of Family and Community Medicine, Saint Louis University, 1402 South Grand Blvd, Saint Louis, MO, 63104, USA.

Department of Critical Care, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Chicago, IL, USA.

出版信息

J Immigr Minor Health. 2020 Aug;22(4):691-700. doi: 10.1007/s10903-020-00988-6.

DOI:10.1007/s10903-020-00988-6
PMID:32072377
Abstract

Latinas face barriers to contraceptive and preconception care. Using a Reproductive Health Self-Assessment Tool (RH-SAT) before primary care visits may help overcome these barriers. Twenty Spanish-speaking women at a Federally Qualified Health Center in Chicago received the RH-SAT before their visit then completed a phone interview about their perceptions of the RH-SAT. Transcripts were thematically analyzed using a modified grounded theoretical approach. All participants self-reported Hispanic/Latina ethnicity, either of Mexican (N = 19) or Puerto Rican (N = 1) origin. Participants (1) believed the RH-SAT was easy to use and its content was useful for women with a variety of reproductive goals; (2) felt it provided new information about preparing for pregnancy and contraception; (3) were prompted by the RH-SAT to self-reflect and ask questions not previously considered; and (4) felt it could help overcome barriers some women experience in discussing reproductive health. Participants felt the RH-SAT provided new information and would prompt them to discuss contraception and/or preparing for pregnancy with their clinician. This tool has the potential to facilitate patient-clinician discussion of reproductive health in primary care and overcome barriers experienced by some Spanish-speaking women.

摘要

拉丁裔女性在获得避孕和孕前保健方面面临障碍。在初级保健就诊前使用生殖健康自我评估工具(RH-SAT)可能有助于克服这些障碍。在芝加哥的一家联邦合格的健康中心,20 名讲西班牙语的女性在就诊前接受了 RH-SAT,然后通过电话采访完成了对 RH-SAT 认知的调查。使用改良的扎根理论方法对转录本进行了主题分析。所有参与者均自我报告为西班牙裔/拉丁裔,其中 19 人来自墨西哥(N=19),1 人来自波多黎各(N=1)。参与者(1)认为 RH-SAT 使用方便,其内容对具有不同生殖目标的女性有用;(2)认为它提供了有关准备怀孕和避孕的新知识;(3)RH-SAT 促使他们自我反思并提出以前未考虑过的问题;(4)认为它可以帮助克服一些女性在讨论生殖健康时遇到的障碍。参与者认为 RH-SAT 提供了新的信息,并将促使他们与临床医生讨论避孕和/或准备怀孕的问题。该工具有可能促进初级保健中患者与临床医生之间关于生殖健康的讨论,并克服一些讲西班牙语的女性所经历的障碍。

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